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Emerald Nursing & Rehab Legacy Pointe LLC

3110 Scott Circle, Omaha, NE 68112 · Douglas County · (402) 455-6636

108 certified beds, about 61 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2000

Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 285239 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 22, 2025, inspectors cited 13 health deficiencies (the Nebraska average is 7.4, the national average 9.2).

Of 35 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 9 fines totaling $80,686 in the last three years; the largest was $24,241, and the latest is dated June 9, 2026.

Nurses and nurse aides worked 3.45 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

53.3% of nursing staff left within the year CMS measured (Nebraska average 48.7%).

CMS links it to Emerald Healthcare, an affiliated group of 14 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
24D
6E
4F
Potential for minimal harm
0A
0B
0C
June 9, 2026Complaint inspection · 6 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I) and 12-006.09(I)(i)(1,2,3 and 4). Based on observation, record reviews and interviews; the facility failed to ensure residents that were identified as an elopement risk were supervised when leaving the facility for 1 (Resident 1) of 3 residents sampled, failed to ensure prompt follow-up after a resident's whereabouts were unknown for 1 (Resident 2) of 3 residents sampled, failed to identify and implement interventions to prevent elopements and falls and failed to monitor for neurological changes after unwitnessed falls or falls with head injuries for 1 (Resident 1) of 3 residents on sample. The facility staff identified a census of 65. The facility Administrator (ADM) was notified on 6/8/26 at 5:25 PM of an Immediate Jeopardy (IJ) which began on 6/8/26. The IJ was removed on 6/8/26, as confirmed by surveyor onsite verification.
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.02 Based on observations, record reviews and interviews; the facility management failed to utilize its resources to attain or maintain the highest practicable physical and psychosocial well-being of each resident as identified by the deficient practices cited. The facility staff identified a census of 65.
  3. F
    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
    F843 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteBased on record review and interview; the facility staff failed to have a transfer agreement between the facility and hospital. This had the potential to effect all residents in the facility. The facility staff identified a census of 65.
  4. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteLicensure reference Number 175 NAC 12-006.07(C)Based on observation, interview, and record review, the facility failed to ensure the QAPI program identified and addressed concerns related to deficient practice for elopement and falls prior to a complaint survey. This had the potential to affect all residents in the facility. The facility identified a census of 65.
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(B)(ii)Based on record review and interview, the facility failed to ensure competencies were completed on 12 (Nurse Aide(NA) A,NA B, NA C, NA D, NA E ,Medication Aide (MA F, MA G, MA H, MA I, MA J), Licensed Practical Nurse (LPN) K and Registered Nurse (RN) L) of 12 staff reviewed. The facility identified a census of 65.
  6. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 24, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12.006.04(B)(ii)(1), Licensure Reference Number 175 NAC 12.006.04 (B)(iii) Based on record review and interview, the facility failed to ensure 12 hours of yearly training for 5 of 5 nurse aide/medication aids sampled and failed to ensure 5(MA F, MA G, MA H, MA I, MA J) of 5 medication aides had the required number of hours for dementia training. The facility identified a census of 65.
November 20, 2025Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 4, 2026
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.18Based on observation, interview and record review, the facility failed to ensure staff followed hand hygiene procedures during the provision of peri-care (the process of washing the genitals and anal area to maintain hygiene, prevent infection and prevent skin breakdown) for 2 residents (Residents 1 and 2) of 3 residents surveyed. The facility identified a census of 68.
November 18, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 28, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on interview and record review the facility failed to update the resident's healthcare practitioner of chest x-ray results for 1 (Resident 1) of 4 residents sampled, resulting in a delay of treatment. The facility census was 69.
July 22, 2025Standard inspection, Complaint inspection · 13 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.18, 12-006.18 (C)Based on observation, interview, record review, the facility failed to implement a plan to mitigate the potential growth of Legionella, and failed to implement Enhanced Barrier Precautions (EBP) for Residents 8 and 61.
  2. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(A)Based on observations, record review and interview, the facility kitchen staff failed to follow the menu serving sizes for 48 resident who have a regular textured diet. The facility staff identified a census of 63.
  3. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observations and interviews; the facility kitchen staff failed to ensure foods were at temperatures that was appetizing and palatable. The deficient practice had the potential to effect all residents who eat food from the kitchen. The facility staff identified a census of 63.
  4. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteNebraska Licensure Reference 175 NAC 12-006.05(E)Based on interview and record review, the facility failed to evaluate resident food preferences related to religious beliefs for 1 (Resident 20) of 1 sampled resident. The facility staff identified a census of 63.
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5)Based on record review and interview the facility failed to notify the resident's practitioner of omitting the administration of insulin for 3 (Residents 5, 31, and 39) of 3 residents sampled. The facility census was 63.
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.05Based on record review and interview, the facility failed to provide notice of transfer in writing to the resident or resident's representative for 2 (Resident 20 & 64) of 4 residents sampled. The facility staff identified a census of 63.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(i)(3) Based on observation, interview and record review the facility failed to ensure nails were trimmed for 1 (Resident 2) of 2 residents sampled. The facility census was 63.
  8. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(vi)(2). Based on observation, interview and record review the facility failed to implement an individualized activity program for Resident 5.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteNebraska Licensure Reference 175 NAC 12-006.09(H)(iv)(5)Based on interview and record review, the facility failed to evaluate bowel function and failed to implement interventions to manage bowel function for 1 (Resident 8) of 5 sampled residents. The facility staff identified a census of 63.
  10. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteNebraska Licensure Reference Number 175 NAC 12-006.09(H)(v)Based on observation, interview, and record review; the facility failed to implement interventions to prevent further decrease in range of motion for 1 (Resident 20) of 1 resident sampled. The facility staff identified a census of 63.
  11. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09Based on record review and interview the facility failed to identify and implement a plan to manage medications for residents on dialysis services for 3 (Residents 5, 31 and 39) of 4 residents sampled. The facility census was 63.
  12. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.10(D) Based observations, record reviews and interviews; the facility staff failed to ensure a medication error rate of less than 5%. Observations of 28 medications administered revealed 3 errors resulting in a medication error rate of 10.71%. The medication errors affected 3 (Resident 11, 22 and 37) of 7 sampled residents. The facility staff identified a census of 63.
  13. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.15(A) & (B). Based on observation, interview and record review the facility failed to ensure dental services were provided for 2 (Resident 5 and 56) of 2 residents sampled. The facility census was 63.
November 19, 2024Complaint inspection · 2 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H)(iii)(1) Based on observations, record review and interview; the facility staff failed to implement interventions to prevent potential development of pressure ulcers for 1 (Resident 7) of 5 residents. The facility staff identified a census of 60.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.18 Based on observations record review and interview; the facility staff failed to implement Enhanced Barrier Precaution (EBP,an infection control intervention designed to reduce transmission of resistant organisms that employs gown and glove use during high contact resident care activities) for 1(Resident 7) of 1 sampled resident. The facility staff identified a census of 60.
May 23, 2024Standard inspection, Complaint inspection · 4 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.18B3 Based on observation and interview, the facility failed to maintain walls, floors, resident equipment, fixtures, air conditioning and ventilation covers in a clean, safe and functional manner in 7 rooms (116, 122, 123, 126, 127, 128 and 130) and in the east and west shower rooms, which had the potential to affect 55 of 64 residents that utilized those rooms. The total number occupied resident rooms was 42. The facility census was 64.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12.006.12E1 Based on observations and interviews, the facility failed to ensure the east medication room was secure. This had the potential to affect 22 of 64 residents who were self-mobile and resided in the facility and 2 (Nursing Assistant A and B) of 3 unauthorized staff.
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteBased on record review and interview, the facility staff failed to investigate and submit their written investigation of alleged misappropriations to the state agency within 5 working days for 1 (Resident 31) of 3 residents reviewed. The facility identified a census of 64.
  4. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.095D5 Based on interviews and record reviews, the facility failed to evaluate and implement interventions to manage triggers for 1 (Resident 7) of 1 resident with a diagnosis of Post Traumatic Stress Disorder (PTSD). The facility staff identified a census of 64.
January 3, 2024Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteLicensure reference: 175 NAC 12-006.04C3a(6) Based on record review and interview, the facility failed to ensure responsible party was notified of weight loss for 2 [Residents 1 and 3] of 4 sampled residents. The facility had a total census of 63 residents.
November 30, 2023Standard inspection, Complaint inspection · 7 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(4) Based on record review and interview, the facility failed to ensure baths were given according to preferences for 3 residents (Resident 57, 35 and 29) of 3 sampled residents. The facility census was 62.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteLicensure Reference Number 175 NAC 12-006.04C3a(6) Based on record review and interview; the facility staff failed to notify the practitioner of an abnormal laboratory result for 1 (Resident 19) of 5 sampled residents. The facility staff identified a census of 62.
  3. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteBased on record review, observation and interview, the facility failed to obtain a rationale from the medical practitioner for the continued use of a psychotropic medication for 1( Resident 50) of 5 sampled residents. The facility identified a census of 62.
  4. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.10D Based on observation, record review and interview, the facility failed to ensure a medication error rate of less than 5%. Observation of 30 medications administered revealed 2 errors which resulted in an error rate of 6.67%. The errors affected 2 of 5 residents (Resident's 7 and 59) observed during medication administration. The facility identified a census of 62.
  5. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteLicensure Reference Number NAC 175 12-007.01A Based on record review, observation and interview, the facility failed to date opened food items to prevent the potential for food borne illness. This had the potential to affect all residents in the building. The facility staff identified a census of 62.
  6. D
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.05(6) Based on record review and interview; the facility staff failed to ensure a Voluntary Arbitration Agreement ( According to www.alabar.org a Arbitration agreement requires that persons who signed them resolve any disputes by binding arbitration, rather than in court before a judge and/or jury) was explained and understood for 3( Resident 8, 57 and 58) of 3 sampled residents. The facility staff identified a census of 62.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2024
    Inspectors wroteLICENSURE REFERENCE NUMBER 175 NAC 12-006.17 Based on observations, record review and interview; the facility staff failed to implement interventions to prevent the spread of Covid-19 in the secured unit, this had the potential to effect 13 out of 17 residents in the secured unit), failed to sanitize a mechanical lift before resident use between 2 rooms and failed to utilize handwashing and gloving techniques to prevent the potential cross contamination from resident to resident. The facility staff identified a census of 62.

Fire safety inspections

8 fire safety citations on file: 3 on July 22, 2025, 1 on May 23, 2024, 4 on November 30, 2023.

Every fire safety citation8 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 22, 2025 · Corrected (the home has a date of correction)
  2. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 22, 2025 · Corrected (the home has a date of correction)
  3. E
    Meet requirements for the use and maintenance of medical gas equipment.
    K 922 · July 22, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 23, 2024 · Corrected (the home has a date of correction)
  5. F
    Conduct testing and exercise requirements.
    E 39 · November 30, 2023 · Corrected (the home has a date of correction)
  6. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 30, 2023 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 30, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 30, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 9, 2026Fine $24,241
June 9, 2026Payment Denial 16 days from July 8, 2026
February 20, 2024Fine $4,938
February 12, 2024Fine $4,938
January 22, 2024Fine $14,814
January 8, 2024Fine $4,938
January 2, 2024Fine $4,587
December 11, 2023Fine $11,645
November 6, 2023Fine $3,176
October 17, 2023Fine $7,409

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNebraskaUnited States
All nursing staff (RN, LPN and aides)3.453.983.86
Registered nurses0.690.670.69
All nursing staff on weekends3.013.483.42
Nurse aides2.37
Licensed practical nurses0.39
Nursing staff turnover (share who left in a year)53.3%48.7%45.8%
Registered nurse turnover42.9%44.1%42.9%
Administrators who left0

CMS expects 3.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.62 on weekdays and 3.01 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.450.693.623.01 11.0%0 of 9061
Oct to Dec 20253.330.593.502.89 7.1%0 of 9266
Jul to Sep 20253.490.533.673.01 9.8%1 of 9263
Apr to Jun 20253.440.433.662.90 9.3%0 of 9164
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Nebraska, Jan to Mar 20264.010.664.213.537.1%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNebraskaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.119.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.24.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.02.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.518.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.74.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
29.420.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.81.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.91.8

Owners and operators

Legal business name: EMERALD NURSING & REHAB LEGACY POINTE LLC. CMS links this home to Emerald Healthcare, a group of 14 nursing homes averaging 1.3 stars overall.

NameRoleTypeShareSince
Emerald Nursing & Rehab Legacy Pointe LLC5% or greater direct ownership interestOrganization100%04/29/2022
Legacy Pointe Opco Holdings LLC5% or greater indirect ownership interestOrganization100%04/29/2022
Runyan, CherylW-2 managing employeeIndividual04/29/2022
Chafetz, YisroelCorporate directorIndividual04/29/2022
Walden, JacobCorporate directorIndividual04/29/2022
Chafetz, YisroelOperational/managerial controlIndividual04/29/2022
Walden, JacobOperational/managerial controlIndividual04/29/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on June 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on July 22, 2025: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 4 problems in this area, most recently on June 9, 2026: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on November 20, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Nebraska average of 3.48.

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Common questions

What is Emerald Nursing & Rehab Legacy Pointe LLC's Medicare star rating?
CMS rates Emerald Nursing & Rehab Legacy Pointe LLC 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Emerald Nursing & Rehab Legacy Pointe LLC get at its last inspection?
13 health deficiencies at the standard inspection on July 22, 2025. The Nebraska average is 7.4.
Has Emerald Nursing & Rehab Legacy Pointe LLC been fined?
Yes. CMS lists 9 fines totaling $80,686 in the last three years.
Does Emerald Nursing & Rehab Legacy Pointe LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Emerald Nursing & Rehab Legacy Pointe LLC?
CMS lists 7 owners and managers, and links the home to Emerald Healthcare. Legal business name: EMERALD NURSING & REHAB LEGACY POINTE LLC.

Sources

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